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1740735620
JORDAN JOHNSON
SALT LAKE CITY, UT
NPI
1740735620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 9811570-2401)
Enumeration Date
2016-08-19
Last Update Date
2016-08-19
Business Address
-- JORDAN JOHNSON
137 E 3RD AVE APT 14
SALT LAKE CITY, UT 84103-5016
Phone number: 928-533-8616
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Mailing Address
-- JORDAN JOHNSON
137 E 3RD AVE APT 14
SALT LAKE CITY, UT 84103-5016
Phone number: 928-533-8616
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